| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.39 | $380.39 | $380.39 | |
Aetna
| Professional | $193.20 | $380.39 | $380.39 | |
BCBS
| Professional | $336.80 | $336.80 | $336.80 | |
Cigna
| Facility | $335.84 | $335.84 | $519.16 | |
Cigna
| Professional | $245.16 | $245.16 | $601.88 | |
United
| Professional | $148.08 | $225.76 | $342.28 |